Active NPI
A&P Live Better, LLC
Doing business as A and P Superfoodmart Pharmacy
- Pharmacy
- Danbury, CT
National Provider Identifier
1427073071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 01665
- Legal business name
- A&P LIVE BETTER, LLC
- Doing business as
- A and P Superfoodmart Pharmacy
- Practice address
- 1 Padanaram Rd
Danbury, CT 06811-4836 - Phone
- (203) 791-2356
- Fax
- (203) 791-2358
- NPI assigned
- Jul 13, 2006
- Last updated
- Nov 28, 2012
- Organization subpart
- Yes
- Parent organization
- THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Kijowski
- Title
- Manager, Regulatory Compliance
- Phone
- (201) 571-8326
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01665 | CT | |
| Pharmacy | 333600000X | 01665 | CT | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
1 Padanaram Rd
Danbury, CT 06811-4836
Mailing address
2 Paragon Dr
Montvale, NJ 07645-1718
Phone (201) 573-9700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004186517 | Other | CT | MEDICAID DME |
| 004187276 | Medicaid | CT | |
| 0717592 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- A AND P SUPERFOODMART PHARMACY
National Provider Directory
National Provider Directory- Part of
- The Great Atlantic and
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba A & P Pharmacy
- Pharmacy
- Allendale, NJ
- NPI 1962427526
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1427073071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PARAGON DR",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451718",
"telephone_number": "201-573-9700",
"fax_number": "201-571-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PADANARAM RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114836",
"telephone_number": "203-791-2356",
"fax_number": "203-791-2358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A&P LIVE BETTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE GREAT ATLANTIC & PACIFIC TEA CO., INC.",
"enumeration_date": "2006-07-13",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "KIJOWSKI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER, REGULATORY COMPLIANCE",
"authorized_official_telephone_number": "201-571-8326"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "01665",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CT",
"license": "01665",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "004186517",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004187276",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0717592",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A AND P SUPERFOODMART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.